不同麻醉方法对妊娠高血压疾病患者剖宫产术母婴的影响

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1、万方数据新乡医学院硕士学位论文EffectsofDifferentAnestheticMethodsonMaternalandInfantofPatientswithHypertensiveDisordersComplicatingPregnancyinCesareanSectionobjecfiveAbstractThisstudyistoinvestigatetheeffectsofdifferentanestheticmethodsonmaternalandinfantofpatientswithhypertensivedisord

2、erscomplicatingpregnancyincesareansection．Methods300patientswithpregnancy—inducedhypertensiondiseaseundergoingelectivecesareansectioninourhospitalwereselected．Thepatientswereagedfrom21to39yearsold，weighedfrom50to79kg，Thegestationweekofthepatientswerediscontentfull-termpri

3、miparamaternalarrangedfrom37to42weeksorthepatientsunderwentsecondarycesareandelivery．Bytherandomnumbertablemethod，allofthepatientswererandomlydividedintofourgroups，75casespereachgroup：combinedgeneralintravenousanesthesiawimendotrachealintubationgroup(groupA)，subarachnoidb

4、lockanesthesia(alsoknownasspinalanesthesiaorlumbarhemp)group(groupB)，combinedspinal-epiduralanesthesiagroup(groupC)andepiduralblockanesthesiagroup(groupD)．Patientsofeachgroupwereunderwentcesareansectionwithcorrespondinganesthesiamethod．Generaldatasuchasage，bodymassindex(B

5、MI)andgestationalweekwererecorded．Meanarterialbloodpressure(MAP)，heartrate(m◇andpulseoxygensaturation(Sp02)wererecordedrespectivelyatbeforeanesthesiaifl)，5minafteranesthesia(T2)，1Omin(，r3)，20min(T4)，30min(T5)，fetalchildbirth(TOandsurgeryfinished(T7)．Timeofanesthesiausedan

6、dtimeofanesthesiaonsetwererecordedinthefourdifferentanestheticmethods．弧eincidenceofpostoperativeadversereactionssuchashypotension(baselineofsystolicbloodpressure>20％)，sinustachycardia,orsinusbradycardia，waistpain，headache,nauseaandvomitingandhypoxemiaetc．weredetermined．Th

7、eusageofintraoperativevascularactivedrugsincludingboosterandexpandbloodvesseldrugsetc．wererecoeded．Instant’SheartrateofeachfetusWasrecordedbeforeanesthesia，andat5万方数据新乡医学院硕士学位论文minafteranesthesiaandtheonsetofsurgery．Apgarscorcandcordbloodgasanalysisofeachnewbornweretested

8、at1min，5minand10minafterdelivery．Respiratorydepression(npgarscore<7orpHofumbilicalcordblood<7．2)